Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Alabama (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Rural Urgent Care LLC (NPI 1932586476)

Key Findings

Field	Value
Entity Type	Organization
Organization	Rural Urgent Care LLC
Address	1925 W Main St Ste 120
City	Centre
State	AL
ZIP	35960
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	May 5, 2015

Payer Source	Total Paid
Medicaid	$26M
Medicare	$0

RURAL URGENT CARE LLC is effectively a single-payer Medicaid operator: there is no Medicare billing on file and lifetime Medicaid revenue is $26M. This means the practice’s financial footprint and patient mix, as visible in claims data, are overwhelmingly driven by Medicaid activity rather than Medicare.

Revenue concentration is extreme: the top 3 Medicaid codes by revenue (99214, 99204, 87804) account for 70.8% of total Medicaid revenue. That concentration indicates the business depends heavily on a small set of high-volume evaluation-and-management visits and rapid diagnostic tests to generate the majority of its revenue.

The code mix signals an urgent care–style operational model: 99214 and 99204 (established and new patient outpatient E/M visits) together account for large shares of revenue and are complemented by very high volumes of point-of-care infectious disease testing such as 87804 (influenza) and 87811/87880 (COVID-19 and strep) and other rapid respiratory tests. This pattern is consistent with a walk-in clinic that treats acute respiratory and primary care complaints and relies on high-throughput, short-visit encounters.

RURAL URGENT CARE LLC shows dominant in-state standing on many Medicaid codes. It ranks #1 in the state for 99214, 99204, 87804, 87811, 87880, 99203, 87807 and multiple other codes, often described as an "extreme outlier" and positioned in the 100th percentile. These rank and percentile signals indicate the provider is a major volume leader in Alabama for both E/M visits and point-of-care infectious testing.

Certain procedural volumes are unusually concentrated relative to peers: for example, 99214 generated $8.6M (33.2% of Medicaid revenue) and 99204 generated $6.9M (26.5% of Medicaid revenue), each ranking #1 of hundreds of in-state providers and labeled an "extreme outlier." Those two visit codes alone form the bulk of the clinic’s clinical encounter revenue, implying the operation focuses on mid- to high-complexity face-to-face visits for both new and established patients.

High throughput of diagnostic testing supports the visit volumes: 87804 (412.7K claims, $2.9M revenue, 11.1%) and 87811 (146.2K claims, $2.3M revenue, 9.0%) are both state volume leaders. The combination of very large claim counts for rapid tests with relatively low per-claim payments is consistent with a model that performs large numbers of quick, reimbursed point-of-care tests alongside billed E/M encounters.

Service-mix diversity beyond the top codes is present but secondary: codes such as 99213, 99203, 87634, and various injection and specimen codes contribute smaller shares (each under ~5% individually) and many of these also rank at high percentiles statewide (e.g., 99213 at 95th percentile, 87634 at 95th percentile). This suggests while the practice is dominated by a few high-revenue codes it also offers a broader set of typical urgent care services at notable volume relative to peers.

The provider has established tenure, with its NPI enumerated on 2015-05-05 (~11 years ago). That multi-year presence combined with consistent, high-volume Medicaid billing and repeated #1 state ranks suggests a sustained operational scale rather than a short-term surge driven by a temporary program or reporting artifact.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

48 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	179,710	$50	$8.6M
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	104,240	$70	$6.9M
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	412,750	$10	$2.9M
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	146,180	$20	$2.3M
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	169,490	$10	$1.4M
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	24,060	$40	$1.1M
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	50,080	$20	$851.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	20,490	$30	$676K
87634	The lab analyst performs a test for respiratory syncytial virus (RSV) antigen detection using amplified nucleic acid probe technique.	22,430	$30	$650.4K
87807	The lab analyst performs the technical lab test to analyze for the presence of respiratory syncytial virus (RSV) in a specimen by immunoassay using direct optical, meaning visual, observation.	33,300	$10	$233.1K

Showing 1–10 of 48

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alabama Distribution

Rural Urgent Care LLC — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

48 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	21	30	1,030	$40	$254.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1	1,990	680	$60	$201.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	66	330	140	$240	$197.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	109	1,990	560	$40	$185.6K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	97	100	610	$40	$152.5K
87634	The lab analyst performs a test for respiratory syncytial virus (RSV) antigen detection using amplified nucleic acid probe technique.	4	60	350	$30	$136.6K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	1	630	60	$80	$45.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	202	500	120	$60	$42.2K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	99	160	70	$200	$39K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	1	300	140	$20	$34K

Showing 1–10 of 48

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeffrey Guilbeau	AL	Physician Assistant	$45.3K	$0
Jill Woodall	FL	Family Nurse Practitioner	$33.8K	$0
Elva Calderon	AL	Family Nurse Practitioner	$30.8K	$0
Sharonda Coutch	AL	Family Nurse Practitioner	$25.5K	$0
Julie Atkins	AL	Family Nurse Practitioner	$23.3K	$0
Morgan Miller	AL	Family Nurse Practitioner	$21.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Floyd Cherokee Medical Center LLC	AL	Rural Health Clinic/Center	$0	$3.3M
Fort Payne Clinic Corp.	AL	Internal Medicine Physician	$0	$2M
Floyd Cherokee Medical Center LLC	AL	Rural Health Clinic/Center	$0	$1.2M
Cherokee Pain Management, LLC	AL	Pain Medicine (Anesthesiology) Physician	$0	$996.4K
Perry Medical Clinic, P. C.	AL	Family Medicine Physician	$0	$877.1K
Floyd Cherokee Medical Center LLC	AL	General Acute Care Hospital	$0	$855.8K
Clinton Allen	AL	Family Medicine Physician	$253.5K	$0
William Perry	AL	Family Medicine Physician	$171.4K	$0
Michelle Schofield	AL	Psychiatry Physician	$17.9K	$123.6K
Alabama Cvs Pharmacy, L.L.C.	AL	Pharmacy	$73.1K	$570

Rural Urgent Care LLC — Billing Profile & Reimbursement Data

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Rural Urgent Care LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References